Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model

Bogaert, Peter Van; Meulemans, Herman; Clarke, Sean P.; Vermeyen, K. M.; Heyning, Paul Van de

doi:10.1111/j.1365-2648.2009.05082.x

Cited by 154 publications

(173 citation statements)

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“…Stress and burnout frequently relate to heavy workloads, which in turn relate to staffing levels and work patterns (working hours, skill mix, etc.). Van Bogaert (2009b considers nurse burnout to be the opposite of engaging nurses in their work; i.e., organisational failure. The Institute of Medicine (2001) report stated that work environments or poorly designed care systems set up the workforce to fail.…”

Section: Resultsmentioning

confidence: 99%

“…Van Bogaert et al, (2009b) Studied the relationship between nurse work environment, job outcomes and nurse-assessed care quality.…”

Section: Resultsmentioning

confidence: 99%

“…Burnout's causes include daily stress and work overload (Abushaikha and Saca-Hazboun, 2009), poor control or value conflicts in the workplace (Van Bogaert et al, 2009b). Research indicates that burnout can result in staff developing negative selfconcepts and job attitudes and a reduced concern for patients (Abushaikha and SacaHazboun, 2009), which: (i) hinders service quality; and (ii) has serious consequences for the worker's personal life (Penson et al, 2000).…”

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confidence: 99%

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Quality of care and health professional burnout: narrative literature review

Humphries

Morgan

Conry

et al. 2014

International Journal of Health Care Quality Assurance

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Purpose – Quality of care and health professional burnout are important issues in their own right, however, relatively few studies have examined both. The purpose of this paper is to explore quality of care and health professional burnout in hospital settings. Design/methodology/approach – The paper is a narrative literature review of quality of care and health professional burnout in hospital settings published in peer-reviewed journals between January 2000 and March 2013. Papers were identified via a search of PsychInfo, PubMed, Embase and CINNAHL electronic databases. In total, 30 papers which measured and/or discussed both quality of care and health professional burnout were identified. Findings – The paper provides insight into the key health workforce-planning issues, specifically staffing levels and workloads, which impact upon health professional burnout and quality of care. The evidence from the review literature suggests that health professionals face heavier and increasingly complex workloads, even when staffing levels and/or patient-staff ratios remain unchanged. Originality/value – The narrative literature review suggests that weak retention rates, high turnover, heavy workloads, low staffing levels and/or staffing shortages conspire to create a difficult working environment for health professionals, one in which they may struggle to provide high-quality care and which may also contribute to health professional burnout. The review demonstrates that health workforce planning concerns, such as these, impact on health professional burnout and on the ability of health professionals to deliver quality care. The review also demonstrates that most of the published papers published between 2000 and 2013 addressing health professional burnout and quality of care were nursing focused.

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Section: Resultsmentioning

confidence: 99%

“…Van Bogaert et al, (2009b) Studied the relationship between nurse work environment, job outcomes and nurse-assessed care quality.…”

Section: Resultsmentioning

confidence: 99%

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confidence: 99%

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Quality of care and health professional burnout: narrative literature review

Humphries

Morgan

Conry

et al. 2014

International Journal of Health Care Quality Assurance

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“…(7) For the institution, the absence of characteristics that favor professional practice directly influences the rise of turnover and absenteeism rates. (8) As for professionals, these characteristics result in greater job satisfaction, (8) reduced intention to leave the job and lower levels of burnout. (8) Burnout is a syndrome composed of three related dimensions -"emotional exhaustion," "depersonalization" and "reduced personal accomplishment," which develop in response to physical and emotional stress in the workplace.…”

Section: Introductionmentioning

confidence: 99%

“…(8) As for professionals, these characteristics result in greater job satisfaction, (8) reduced intention to leave the job and lower levels of burnout. (8) Burnout is a syndrome composed of three related dimensions -"emotional exhaustion," "depersonalization" and "reduced personal accomplishment," which develop in response to physical and emotional stress in the workplace. (9,10) High levels of burnout among nursing professionals are associated to job dissatisfaction, intention to leave the job and patients' dissatisfaction with the care received, which directly influence the quality of the care provided and patient safety.…”

Section: Introductionmentioning

confidence: 99%

Validação do Nursing Work Index-Revised entre auxiliares e técnicos de enfermagem

et al. 2014

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Objective: To assess the reliability and validity of the Brazilian version of the Nursing Work Index-Revised among nursing aides and technicians. Methods: A methodological cross-sectional study was conducted in two teaching hospitals. The sample consisted of 150 subjects and data were collected with the use of a personal and professional information sheet, the Brazilian version of the Nursing Work Index-Revised for nursing aides and technicians and the Maslach Burnout Inventory. Results: Cronbach's alpha varied from 0.58 to 0.77 among the subscales of the Nursing Work Index-Revised and all its subscales obtained significant correlation with the subscales of the Maslach Burnout Inventory and the "job satisfaction," "intention to leave the job," and "nurse perception of quality of care" variables. Conclusion: The instrument presented reliability and validity for evaluating the practice environment of these professionals. ResumoObjetivo: Avaliar a confiabilidade e validade da versão brasileira do Nursing Work Index -Revised entre auxiliares e técnicos de enfermagem. Métodos: Estudo metodológico, transversal, realizado em dois hospitais de ensino. A amostra foi composta por 150 sujeitos e para a coleta de dados foram utilizados: a ficha de caracterização pessoal e profissional, a versão brasileira do Nursing Work Index -Revised para auxiliares e técnicos de enfermagem e o Inventário de Burnout de Maslach. Resultados: O coeficiente alfa de Cronbach variou de 0,58 a 0,77 entre as subescalas do Nursing Work Index -Revised e todas as suas subescalas obtiveram correlação significativa com as subescalas do Inventário de Burnout de Maslach e as variáveis "satisfação com o trabalho", "intenção de deixar o emprego" e "percepção da qualidade do cuidado". Conclusão: O instrumento demonstrou confiabilidade e validade satisfatórias para avaliar o ambiente da prática desses profissionais.

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Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care

Li,

Yang,

Singer

et al. 2024

JAMA Netw Open

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ImportanceOccupational burnout syndrome is characterized by emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment and is prevalent among nurses. Although previous meta-analyses have explored the correlates of nurse burnout, none have estimated their association with health care quality and safety and patient morbidity and mortality.ObjectiveTo evaluate the magnitude and moderators of the association between nurse burnout and patient safety, patient satisfaction, and quality of care.Data SourceThe Web of Science, Scopus, MEDLINE, Embase, PsycINFO, CINAHL, and ProQuest databases were searched from January 1, 1994, to February 29, 2024.Study SelectionTwo reviewers independently identified studies that reported a quantifiable association between nurse burnout and any of the outcomes of patient safety, patient satisfaction, or quality of health care.Data Extraction and SynthesisThe PRISMA 2020 guideline was followed. Two reviewers independently extracted the standardized mean difference (SMD) (Cohen d) estimates for a random-effects meta-analysis. Subgroup analyses and meta-regressions were conducted using prespecified variables.Main Outcomes and MeasuresAny measure of patient safety, patient satisfaction, or quality of health care previously associated with nurse burnout.ResultsA total of 85 studies (81 cross-sectional and 4 longitudinal) involving 288 581 nurses from 32 countries (mean [SD] age, 33.9 (2.1) years; 82.7% female; mean [SD] burnout prevalence rate with study-specific ascertainments, 30.7% [9.7%]) were included. Nurse burnout was associated with a lower safety climate or culture (SMD, −0.68; 95% CI, −0.83 to −0.54), lower safety grade (SMD, −0.53; 95% CI, −0.72 to −0.34), and more frequent nosocomial infections (SMD, −0.20; 95% CI, −0.36 to −0.04), patient falls (SMD, −0.12; 95% CI, −0.22 to −0.03), medication errors (SMD, −0.30; 95% CI, −0.48 to −0.11), adverse events or patient safety incidents (SMD, −0.42; 95% CI, −0.76 to −0.07), and missed care or care left undone (SMD, −0.58; 95% CI, −0.91 to −0.26) but not with the frequency of pressure ulcers. Nurse burnout was also associated with lower patient satisfaction ratings (SMD, −0.51; 95% CI, −0.86 to −0.17) but not with the frequencies of patient complaints or patient abuse. Finally, nurse burnout was associated with lower nurse-assessed quality of care (SMD, −0.44; 95% CI, −0.57 to −0.30) but not with standardized mortality rate. The associations were consistent across nurses’ age, sex, work experience, and geography and persistent over time. For patient safety outcomes, the association was smaller for the low personal accomplishment subcomponent of burnout than for emotional exhaustion or depersonalization, as well as for nurses with a college education.Conclusions and RelevanceIn this systematic review and meta-analysis, nurse burnout was found to be associated with lower health care quality and safety and lower patient satisfaction. This association was consistent across nurse and study characteristics.

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Hospital nurse practice environment, burnout, job outcomes and quality of care: test of a structural equation model

Cited by 154 publications

References 48 publications

Quality of care and health professional burnout: narrative literature review

Quality of care and health professional burnout: narrative literature review

Validação do Nursing Work Index-Revised entre auxiliares e técnicos de enfermagem

Nurse Burnout and Patient Safety, Satisfaction, and Quality of Care

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